CCM CCM Psychosocial & Behavioral Health Support 1 — Questions and Answers
Question 1: Which screening tool is most commonly used by CCM case managers to identify depression in patients with chronic illness?
- PHQ-9 (Correct answer)
- GAD-7
- CAGE-AID
- MMSE
Correct answer: PHQ-9
The PHQ-9 (Patient Health Questionnaire-9) is the standard validated tool used in care management to screen for and monitor depression severity.
Question 2: A case manager notices a client with diabetes is consistently non-adherent to medications. The BEST first step is to:
- Notify the physician immediately
- Assess for psychosocial barriers such as depression or financial stress (Correct answer)
- Discharge the client from the program
- Increase the frequency of follow-up calls
Correct answer: Assess for psychosocial barriers such as depression or financial stress
Identifying psychosocial barriers is the foundational step before implementing any adherence intervention in care management.
Question 3: Which motivational interviewing technique involves reflecting back what a client has said to encourage further exploration?
- Affirmation
- Open-ended questioning
- Reflective listening (Correct answer)
- Summarizing
Correct answer: Reflective listening
Reflective listening mirrors the client's words or feelings to demonstrate understanding and prompt deeper self-exploration.
Question 4: Social determinants of health (SDOH) that a CCM case manager should routinely assess include all of the following EXCEPT:
- Housing stability
- Food security
- Medication brand preference (Correct answer)
- Transportation access
Correct answer: Medication brand preference
Medication brand preference is a clinical preference, not a social determinant; housing, food, and transportation are core SDOH domains.
Question 5: When a client with a serious mental illness (SMI) refuses all recommended care, the case manager's ethical obligation is to:
- Document refusal and close the case
- Respect autonomy while exploring concerns and offering alternatives (Correct answer)
- Immediately request guardianship
- Override the refusal and schedule appointments
Correct answer: Respect autonomy while exploring concerns and offering alternatives
Respecting client autonomy is a core CCM ethical principle; the manager should explore barriers and offer alternatives rather than override the client's choice.
Question 6: The biopsychosocial model of care management emphasizes that health outcomes are influenced by:
- Biological factors alone
- Psychological factors alone
- The interaction of biological, psychological, and social factors (Correct answer)
- Social factors alone
Correct answer: The interaction of biological, psychological, and social factors
The biopsychosocial model recognizes that biological, psychological, and social dimensions are all interconnected drivers of health and illness.
CCM CCM Psychosocial & Behavioral Health Support 1
Which screening tool is most commonly used by CCM case managers to identify depression in patients with chronic illness?